Healthcare Provider Details
I. General information
NPI: 1710928510
Provider Name (Legal Business Name): TENNESSEE VALLEY PAIN CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2006
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 GOVERNORS DR. 4TH FLOOR
HUNTSVILLE AL
35801
US
IV. Provider business mailing address
PO BOX 11407
BIRMINGHAM AL
35246-0116
US
V. Phone/Fax
- Phone: 256-265-7246
- Fax: 256-265-7017
- Phone: 256-533-7064
- Fax: 256-704-0115
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MORRIS
L
SCHERLIS
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 256-265-7246